title: [Implementation of computerized phisician order entry in a hospital setting: what are the keys to success?].
abstract: BACKGROUND
  A software of computerized physician order entry [CPOE] was developed by a data-processing company in collaboration with the Mont-Godinne University Hospital By 2006, parallel to the evolution of the software, the progressive implementation of CPOE was carried out, and currently covers 16 wards, the emergency room, the recovery rooms and the center of medical care [day hospital] as well as the day surgical center
  
  
  OBJECTIVE
  Complete computerization of the drug supply chain, including the regulation by the physician, the pharmaceutical validation, the delivery and the follow-up of stocks by pharmacy, the validation of the administration by the nurse and the tariffing of the drugs.
  
  
  RESULTS
  In 2006, a working group was created in order to validate specifications allowing the development of a software of CPOE, Linked to the computerized medical record. A data-processing company was selected in order to develop this software. Two beds were computerized in the pneumology ward, in order to test and validate the software. From 2007 to 2009, 3 additional wards were computerized [geriatrics, neurosurgery, revalidation]. A steering committee of CPOE, composed of various members (direction, doctors, pharmacists, nurses, data processing specialistsl is created. This committee allows the installation of the means necessary to the deployment of CPOE in the Institution. Structured teams for the deployment are created: medical and nurse coaches. From 2009 to 2012, the deployment of the software is carried out, covering 16 wards, the emergency room, the recovery room and the day-hospitals.
  
  
  CONCLUSIONS
  The computerization of the drug supply chain is a challenge which concerns the institutional level. The assets of our hospital and our project were: - a strong management committee, making of this project a priority entering the strategical planning of the institution; - a steering committee allowing each type of actor to express his needs, and of prioriser requests; - a closer medical coaching; - teams of nurses coaches, accompanying each ward, during and after the deployment; - a dynamic IT team allowing a relay between the Institution and the data-processing company. These points appeared essential and are as many keys for a successful deployment.
authors.affiliation: Département de pharmacie Université Catholique de Louvain, CHU UCL de Mont-Godinne Dinant 5530 Yvoir, Belgique.
authors.forename: R
authors.initials: R
authors.lastname: Garçous
authors.forename: G
authors.initials: G
authors.lastname: Remy
authors.forename: M
authors.initials: M
authors.lastname: Bary
authors.forename: F
authors.initials: F
authors.lastname: Amant
authors.forename: F
authors.initials: F
authors.lastname: Cauwe
authors.forename: L
authors.initials: L
authors.lastname: De Beusscher
authors.forename: A
authors.initials: A
authors.lastname: Bouzette
authors.forename: P
authors.initials: P
authors.lastname: De Coster
authors.forename: J-D
authors.initials: JD
authors.lastname: Hecq
mesh_terms: D003631:Day Care, Medical; D011307:Drug Prescriptions; D006761:Hospitals; D006801:Humans; D007318:Inservice Training; D050316:Medical Order Entry Systems; D009726:Nurses; D010820:Physicians; D012984:Software; D012986:Software Validation